Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review
Issued Date
2023-05-01
Resource Type
eISSN
20058330
Scopus ID
2-s2.0-85158019736
Pubmed ID
37133211
Journal Title
Korean journal of radiology
Volume
24
Issue
5
Start Page
406
End Page
423
Rights Holder(s)
SCOPUS
Bibliographic Citation
Korean journal of radiology Vol.24 No.5 (2023) , 406-423
Suggested Citation
Kaewlai R., Chatpuwaphat J., Maitriwong W., Wongwaisayawan S., Shin C.I., Lee C.W. Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review. Korean journal of radiology Vol.24 No.5 (2023) , 406-423. 423. doi:10.3348/kjr.2022.0998 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82656
Title
Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review
Other Contributor(s)
Abstract
Diagnosing bowel and mesenteric trauma poses a significant challenge to radiologists. Although these injuries are relatively rare, immediate laparotomy may be indicated when they occur. Delayed diagnosis and treatment are associated with increased morbidity and mortality; therefore, timely and accurate management is essential. Additionally, employing strategies to differentiate between major injuries requiring surgical intervention and minor injuries considered manageable via non-operative management is important. Bowel and mesenteric injuries are among the most frequently overlooked injuries on trauma abdominal computed tomography (CT), with up to 40% of confirmed surgical bowel and mesenteric injuries not reported prior to operative treatment. This high percentage of falsely negative preoperative diagnoses may be due to several factors, including the relative rarity of these injuries, subtle and non-specific appearances on CT, and limited awareness of the injuries among radiologists. To improve the awareness and diagnosis of bowel and mesenteric injuries, this article provides an overview of the injuries most often encountered, imaging evaluation, CT appearances, and diagnostic pearls and pitfalls. Enhanced diagnostic imaging awareness will improve the preoperative diagnostic yield, which will save time, money, and lives.